Labial adhesions in pubertal girls

Labial adhesions after puberty are rare and are usually the result of chronic inflammation, urinary tract infection, hypoestrogenism or surgical procedures leading to vulval trauma. Sexual abuse leading to labial adhesions is extremely rare in girls who have attained menarche. Complete vulval fusion can rarely occur without any evidence of hypoestrogenism. We address this rare entity in three young pubertal girls wherein one had a history of genital trauma, the second had a history of surgical intervention due to urinary retention and the last one had a history of sexual abuse. All patients had history of genital trauma in common. Accepted management of this condition is adhesiolysis followed by application of estrogen cream in the postoperative period.